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Individual

MELISSA ANNE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-BC

Contact information

Practice address
701 CHARLES GILMAN JR AVE STE B, KINGSLAND, GA 31548
(912) 729-8942
Mailing address
701 CHARLES GILMAN JR AVE STE B, KINGSLAND, GA 31548-5662
(912) 729-8942

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9229224
FL
363LA2200X
Adult Health Nurse Practitioner
RN159091
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN159091
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00991580
RAILROAD MEDICARE
FL
Enumeration date
11/20/2009
Last updated
06/05/2018
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